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TITLE:

A COMPARATIVE RESEARCH OF FIXATION VERSUS NON-FIXATION TECHNIQUES WITH REFERENCE TO INFLUENCE ON OUTCOMES

AUTHORS:

Dr. Fasih Ur Rehman, Dr. Muhammad Zaigham Maqsood, Dr. Muhamamd Haisum Maqsood, Dr. Muhammad Arqam Maqsood

ABSTRACT:

Objective: The objective of this study to compare mesh fixation with non-fixation and its influence on results. Methods: The time period of this research was between November 2016 to November 2018 at Aziz Fatima Hospital, Faisalabad. The participants were followed up for two years. Two groups were made for the participants. In the first group, metal non-absorbable tackers were used for carrying out the mesh fixation. While in the second group, fixation of mesh was not carried out. All the participants were followed up at 6, 12, 18 and 24 months. Results: Total patients enrolled in this study were 63. Group – I and II contain 32 (50.7%) and 31 (49.2%) patients respectively. In group 1 (P > 0.05), urinary retention was more frequent whereas, in group – II, reoccurrence was frequent (P > 0.05). The mean pain score in group I and II was (4.7 ± 0.683) and (4.1 ± 0.860) respectively. Conclusion: In a non-fixation group, there don’t observe a remarkable increase in urinary retention and repetition. However, the pain was remarkably low in this group. Non-fixation should be favored over mesh fixation as it a suitable technique for total extraperitoneal mesh hernioplasty. Keywords: Fixation, Non-fixation, Mesh, Hernioplasty and Extraperitoneal.

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